47 Independent Nursing Homes in South Dakota

Nurse hours

4.44 /day

Staff turnover

23%

Serious cites

0

Oakview Terrace runs on 4.44 nurse hours per resident per day, roughly 15% above the national average, and its staff turnover sits at 23.4%, about half the national rate of 45.8%. That kind of retention matters more than any single inspection score, because consistent caregivers notice changes in residents sooner. The trade-off shows up in the inspection history: 11 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, plus a $10,839 fine. Weekend staffing also dips about 9% below its own weekday level, so coverage isn't perfectly even across the week. The most recent state visit was June 26, 2025, so the picture is current. Strong staffing and quality numbers, with real inspection problems worth asking about directly.

Nurse hours

4.53 /day

Staff turnover

31%

Serious cites

0

Bethesda Home runs on 4.53 nursing hours per resident day, roughly 17 percent above the national average, and its staff tends to stay, turnover of 30.6 percent against a national figure near 46 percent. Weekends dip about 19 percent below its own weekday staffing, so ask how that gap gets covered. The eight deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was April 2026. Church-affiliated nonprofit ownership with 50 certified beds. The weak spot is thin weekend coverage; the strong spots are retention and a clean harm record.

Nurse hours

4.20 /day

Staff turnover

34%

Serious cites

0

Clarkson Health Care runs on 4.20 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 34% sits well below the 45.8% norm, two signs of a stable, adequately covered floor. The catch is weekends, when staffing drops about 18% below its own weekday level, so care may look different on a Saturday than a Tuesday. Six deficiencies on record include one at the harm level, though none involve abuse, and the most recent inspection came in July 2025. As a nonprofit with 49 beds, it has the size and structure to keep an eye on those weekend gaps.

Nurse hours

5.10 /day

Staff turnover

32%

Serious cites

0

Dow Rummel Village runs a nonprofit home with 50 certified beds, and its staffing is the standout: 5.10 nurse hours per resident day, about a third more than the national average, with turnover at 31.5% against 45.8% nationally. Weekends dip roughly 17% below weekday coverage, which is common but worth asking about. The inspection record is where it gets harder, a 2-out-of-5 health inspection rating, nine deficiencies with three at harm or jeopardy level, and four fines totaling $90,053, most recently inspected January 8, 2026. Good staffing and strong quality measures don't erase a rough survey history, so ask what changed since that inspection.

Nurse hours

3.80 /day

Staff turnover

35%

Serious cites

0

Bowdle Nursing Home is city-owned, and that shows in its stability. Staff turnover runs 34.8%, well under the 45.8% national average, a big deal in a 27-bed home, where losing even a few aides can unsettle care. The nursing hours come in just slightly under the national average, and weekends dip about 9% below weekdays, so ask how coverage holds up on Saturdays and Sundays. Its last inspection was July 2025, and the five deficiencies on record include none tied to harm or abuse. Four stars on inspections and staffing, three on quality measures, solid footing, with room to ask questions.

Nurse hours

4.40 /day

Staff turnover

36%

Serious cites

0

Menno-Olivet runs on a nonprofit model with 41 certified beds, and the staffing numbers stand out: 4.40 nurse hours per resident day, roughly 14% above the national average, with a 5/5 staffing rating to match. Weekend coverage dips about 9% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 35.7%, better than the 45.8% national figure, so the people caring for residents tend to stick around. The inspection record is strong, a 5/5 rating with six deficiencies total, though one reached harm or jeopardy level. The weaker spot is quality measures at 2/5, so ask what specifically drives that score.

Nurse hours

8.62 /day

Staff turnover

37%

Serious cites

0

Nurse staffing at the Yankton state-run home runs 8.62 hours per resident day, more than double the national figure of 3.86, and weekends dip only about 13% below its own weekday level, a smaller drop than many homes see. Annual turnover sits at 37.4%, better than the 45.8% national average. Inspectors visited recently, in June 2025, and found five deficiencies, none causing harm or jeopardy, though one is abuse-related. The 2/5 quality measure rating is the number to ask about on your next call.

Nurse hours

5.48 /day

Staff turnover

48%

Serious cites

0

White River Health Care Center runs on unusually heavy staffing, 5.48 nurse hours per resident day, roughly 42% above the national average, and it shows in the federal stars, with 5s for staffing and health inspections and a 4 for quality measures. The catch is consistency: weekend coverage drops about 15% below the home's own weekday level, and turnover sits at 47.8%, slightly worse than the 45.8% national figure. Its three deficiencies include one at the harm level and one tied to abuse, with a single $6,168 fine. The most recent inspection was March 27, 2025. Nonprofit ownership and strong weekday staffing are real strengths; the harm-level finding is the piece worth asking about directly.

Nurse hours

4.60 /day

Staff turnover

54%

Serious cites

0

The Neighborhoods At Brookview is city/county-owned, and it shows in the staffing: 4.60 nurse hours per resident day, roughly 19% above the national average. Inspections back that up, a 5/5 health inspection rating, only 8 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent survey in November 2025. The tradeoffs are real, though. Staff turnover sits at 53.6% against a national 45.8%, and weekend coverage runs about 14% thinner than weekdays, so the hands-on care you see on a Tuesday may not match what a Saturday brings. Quality measures land mid-pack at 3/5.

Nurse hours

3.70 /day

Staff turnover

46%

Serious cites

0

Westhills Village runs about 3.70 nurse hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage, that gap matters most when a family member needs help on a Saturday. The inspection record is otherwise solid: a 4-out-of-5 health inspection rating, a recent survey from March 2026, and one fine of $8,788. But 11 deficiencies sit on the current record, including one at the harm level and two tied to abuse, and staff turnover of 46.2% is essentially the national rate. For a 44-bed nonprofit, that mix of good routine oversight and a few serious findings is what holds the grade at a B.

Nurse hours

4.08 /day

Staff turnover

56%

Serious cites

0

Sun Dial Manor runs a nonprofit operation with 37 beds in Bristol, and the nurse staffing numbers are genuinely strong, 4.08 hours per resident day, about 6% above the national average, which is what earns the top staffing rating. But weekend coverage drops roughly 11% below the home's own weekday level, so care thins out when families tend to visit. Turnover sits at 55.6% against a national 45.8%, and 21 deficiencies on record include 2 at the harm level and 4 tied to abuse. With a 2-star inspection rating and $24,528 in fines, the people are clearly present, the question is whether consistency and oversight hold up.

Nurse hours

3.50 /day

Staff turnover

44%

Serious cites

0

Avera Oahe Manor runs on 3.50 nurse hours per resident day, about 9 percent under the national average of 3.86, and weekends drop roughly 13 percent below what the home staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when there's simply less help on the floor. Turnover sits at 43.8 percent, slightly better than the national 45.8 percent, and the home carries nine deficiencies, none at the harm level and none related to abuse. The last inspection was July 31, 2025. The nonprofit ownership is a steadying factor, but staffing is the weak spot here, worth asking about directly before you decide.

Nurse hours

4.17 /day

Staff turnover

42%

Serious cites

0

Platte Care Center runs a non-profit shop with 48 beds, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average, which is why CMS hands it five stars on staffing. But look closer: weekends run about 17% leaner than weekdays, and turnover is 41.9%, a bit better than the 45.8% national figure but still meaning nearly half the staff cycling through in a year. The inspection record shows 8 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with $20,183 in fines across two events. The most recent inspection was November 2025. Quality measures score just 2 of 5.

Nurse hours

3.47 /day

Staff turnover

50%

Serious cites

0

Tieszen Memorial Home in Marion runs on thin nurse coverage, 3.47 hours per resident day against a national average of 3.86, and weekends dip about 13% below what the home itself staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when falls and infections don't check the calendar. Half the nursing staff turned over in the past year, above the 45.8% national figure, which means new faces are still learning residents' routines. The inspection record is cleaner: seven deficiencies, none at harm or jeopardy level, though two are abuse-related, and the last survey was December 2024.

Nurse hours

3.91 /day

Staff turnover

52%

Serious cites

0

Pioneer Memorial runs a tight ship on paper: 3.91 nurse hours per resident day, a hair above the national average, and its quality measure and staffing ratings both land at 4 out of 5. But the weekend number matters. Staffing drops about 6% below weekday levels, and with turnover at 52%, well above the national 45.8%, you're looking at a workforce that cycles through fast and thins out on Saturdays and Sundays. The bigger concern sits on the inspection record: three deficiencies, two serious enough to involve harm or jeopardy, and two tied to abuse. A $32,536 fine followed the February 2025 inspection. Nonprofit ownership doesn't erase those findings.

Nurse hours

3.40 /day

Staff turnover

38%

Serious cites

0

Weskota Manor runs lean on daily nursing hours, 3.40 per resident, roughly 12% under the national figure, and weekends dip about 11% below its own weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The tradeoff shows up in retention: 37.5% turnover beats the 45.8% national average, so the aides and nurses here tend to stick around longer than at most homes. Six deficiencies on the current record, none involving harm or abuse, and a January 2026 inspection that came back strong. Two things are true at once: thin staffing, steady caregivers.

Nurse hours

4.25 /day

Staff turnover

38%

Serious cites

0

Kadoka Nursing Home runs a lean 31-bed nonprofit operation in Jackson County, and the staffing numbers are its strongest card: 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 9% below its own weekday level. Turnover sits at 38.2%, better than the 45.8% national figure. The tradeoff shows up in quality measures, where CMS gives it 1 out of 5 stars despite a 4-star inspection rating and no deficiencies at the harm or jeopardy level among its 11 on record. Last inspected April 16, 2025. Strong hands-on care, weaker clinical outcomes on paper, that's the tension worth asking about.

Nurse hours

5.09 /day

Staff turnover

55%

Serious cites

0

Monument Health Sturgis Care Center runs on unusually heavy staffing for a 40-bed nonprofit home, 5.09 nurse hours per resident day, roughly a third above the national average, though weekend coverage drops about 17% from weekday levels, so ask how that gap gets filled. Staff turnover sits at 54.7%, nearly nine points above the national figure, which matters in a building this small where residents see the same few faces daily. The inspection record shows 22 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $26,272 in fines across two penalties. The last inspection was March 2026.

Nurse hours

3.25 /day

Staff turnover

48%

Serious cites

0

Strand-Kjorsvig runs 35 beds in Roslyn as a nonprofit, and its federal staffing star looks strong at 5 out of 5, but that rating sits on 3.25 nurse hours per resident day, about 16% under the national average of 3.86, with weekends roughly 20% thinner than weekdays. Turnover is 48%, a bit above the national 45.8%. The trouble is inspection history: 23 deficiencies on the current record, two at harm or jeopardy level and one abuse-related, plus eight fines totaling $49,964, against a 1-out-of-5 health inspection rating. Quality measures score 4 out of 5, and the most recent inspection was May 2025. Ask about weekend coverage and that abuse citation directly.

Nurse hours

3.73 /day

Staff turnover

52%

Serious cites

0

Bethel Lutheran Home is a 59-bed church-affiliated nonprofit in Madison, and its numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, a bit under the national average, and weekends run roughly 14% thinner than weekdays, so coverage depends on when you visit. Staff turnover is 52.2%, well above the national 45.8%, which matters for whether your parent sees the same faces. The health inspection record is the weak spot: 12 deficiencies, two serious enough to involve harm or jeopardy, and $56,430 in fines across two penalties. A July 2025 inspection is recent, at least. Quality and staffing measures score better than that inspection history suggests.